超声造影诊断感染性慢性胃黏膜炎的价值分析

发布时间：2018-06-02 02:09

本文选题：超声造影 + 感染　；参考：《中华医院感染学杂志》2016年08期

【摘要】：目的探讨超声造影在感染性慢性胃黏膜炎症患者诊断中的价值,为临床慢性胃炎诊断提供参考依据。方法收集医院2012年3月-2015年3月有胃病症状患者共200例,入选患者分别接受超声造影检查和胃镜检查,并均做病理学组织活检;对比超声造影与胃镜检查的阳性检出率及总结超声图像特征。结果 200例患者超声诊断慢性胃炎的阳性检出153例,检出率为83.6%;胃壁黏膜毛糙增厚为85.6%,胃壁黏膜层回声增强为92.8%;胃壁肌层回声减弱为79.1%;胃壁肌层轻度增厚为54.2%;胃壁蠕动增强、正常、减弱分别占53.6%、26.8%、19.6%,所有患者胃壁黏膜下层均连续;胃镜共检出慢性胃炎患者183例,与病理组织活检结果对照,检出率为100.0%,两种方法检出率比较差异有统计学意义(P0.05)。结论超声造影在感染性慢性胃黏膜炎症中有较好的诊断正确率,结合临床症状可以作为诊断慢性胃炎另一有效方法,适于临床广泛开展。
[Abstract]:Objective to investigate the value of contrast-enhanced ultrasonography in the diagnosis of infectious chronic gastric mucosal inflammation and to provide reference for clinical diagnosis of chronic gastritis. Methods 200 patients with gastropathy were collected from March 2012 to March 2015. The patients were examined by contrast-enhanced ultrasonography and gastroscopy respectively. Contrast the positive rate of contrast-enhanced ultrasonography and gastroscopy and summarize the features of ultrasound images. Results 153 of 200 patients with chronic gastritis were diagnosed by ultrasound, the positive rate was 83.6. the thickness of gastric wall mucous membrane was 85.6, the echo of gastric wall mucosal layer was increased to 92.8, the echo of gastric wall muscle layer was reduced to 79.1, the gastric wall muscle layer was slightly thickened to 54.2 and the gastric wall peristalsis was enhanced. The submucosa of gastric wall in all patients was continuous, 183 cases of chronic gastritis were detected by gastroscopy, compared with pathological biopsy results, the detection rate was 100.00.The difference between the two methods was statistically significant. Conclusion Contrast-enhanced ultrasonography has a good diagnostic accuracy in infectious chronic gastric mucosal inflammation. Combined with clinical symptoms, it can be used as another effective method for the diagnosis of chronic gastritis.
【作者单位】：四川省医学科学院·四川省人民医院超声科;
【基金】：四川省科技厅科研基金资助项目(2009SZ0173)
【分类号】：R445.1;R573.3

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